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APP�IC.ATIG 7 FOR �ONSTR�?�,T� lN PERMIT � <br /> Tp BE COMPLETED IN BLACK INK—PL�ASE PRINT <br /> BUILDING DEPARTMENT HEATWG SYSTEM: GAS J ELFCTRIC J _ —� <br /> 259-8810 <br /> DEMOLITION COMBINAT�ON /BUILDING MECHANICAL i PLUMBING SIGN <br /> J n PHONE <br /> owneH r.+aanooaess ci�v zm <br /> eTPr-1�o:.„:�_ /�ryrs�� `1L26 R4c%�r- Luere.{-�- �4f2o3 7 S`Z —o'-190 <br /> iENr1NT IdAILADpRES$ GiY <br /> C ZiP PHONE <br /> �C.v.7 'C._ c:w S C/.�U� <br /> AFGHIiECTORDESIGNER 1.fAllA0DRE55 CiTV ZIP FHONE /� Q <br /> s�wrtd�c.—D�s:�;�. 2230� �v1�.�t..�Uc;� Ur. �''1es Mot�>s `)`6l`1S� � �Z 1•- ZG3 WA � <br /> G[NEH CO TPAGTOfl �,1�Ai�pppqEyS — CITY ZIP PNONE �ST�TELIC� <br /> ��.��.��` � <br /> IdECHANICAL CONTRACTOR M1UIL qOpRE55 �ITV 21P PMOt1E SiATE LICENSE u <br /> PLUh1�INGCONTR�CTOF IAA�LADDRE55 CITY ZIP PHONE ST�TEUCENSEa <br /> COHI'HACT PRICE OF WORN - <br /> OESCRIB6 1YORN�ND SOU�RE F W TpGE INVOLVEO CONTACT PERSON ANO PHONE NO/�//� 1 P <br /> _ / e l C/" � r /�O✓1✓l� � <br /> Ta bw:/a� s.'„Jfe� wov� -�r�.�C /�n�Ps{'-ticl 2�2—G�C �1c7 <br /> �w� . �U /�"I ��ui� �J�lD Gu,�-po�� I HEREOY CERTIFV THAT I HAVE REAC AND EXAMINE� THIS <br /> a�,oFoseouseoFevaowc AP'LICATION AND KNOW T4E SAME TO 9E TRUE AND CORRECT. ALL <br /> PHOVISIONS OF LAWS AND ORDINANCFS GOVERNING THIS TYPE OF <br /> �e�a.oe5�cair�r�oNOFaaoaeqrviSHov�Nse�owoqnTrncNrtvocoai=_;� WORf; WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR <br /> �or—/-- BLOCK� oF — f"� • �w��-}� NOT. ?HE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE <br /> AUTHOi;ITY TO V�OLATE OR CANCFL THE PROVISIONS OF ANY <br /> �%lIS No. � OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE <br /> PERFORA1ANCE OF CONSTRUCTION.?HAT I AM AUTHORIZED BY THE <br /> � - OWNER OF THIS PROPERT'r TO PEPFORM THE WORK FOF WHICH <br /> � — APPLICATION IS "dADE AND I COMPLY WITH THE STATE <br /> anace�v,x i o rror.ieea CONTRACTORS LA1N 18.27 RCW AND 296200 WAC. <br /> 7 '� `I�S- v�'v _ v�L� -cx��U <br /> CUIISTHUCTION LOAN LENC�ER,A��RESS.TELEPHONE NU1.IBEF <br /> PROJECTAD�RESS ' /� s���: ua�� � � � � —'4L��/9� <br /> ia .� �(u�v� �� ��.�o�=�,E=s����.v=�,.� <br /> oj <br /> PLUMBING MECHANI:AL <br /> NO. TYPE OF FIXTURC OR ITEM FEE N0. TYPE OF EOUIPMENT FEE <br /> WATER CLOSET(TOILET) A�C—AMNDLG UNITS—H.P. <br /> 3 BATHTUB FORCED AIR SYSTEMS—B.T.U. M E.A. <br /> � LAVATORY(WASfi BASIN) UNIT HE.5TER5—B.T.U. M <br /> / SHOWER CLOTHESDRYERS —i <br /> KITCHEN SlilK 8 DISP VEfJTILAT10N FAN <br /> � DISHWASHER / RANGE HOOD <br /> / LAUNDRYTRAY / WATER HEATER <br /> / CLOTHES WASHER WOODSTOVE <br /> O URINAL METAL FIREPLACE(WOOD BURNING) � <br /> Q DRINKING FOUNTAIN FIREPIACE INSERTL—� /�'� �. <br /> / FLOOR DRAIN � HEAT PUMP � <br /> BACKFLOW PREVENTERS � GAS PIPING <br /> �D.T ROOF DRAINS—RAINLEADERS EXHAUST FAN <br /> SINK(SERVICE—BAR, ETC.) — <br /> � — <br /> —T_ <br /> SUB TOTAL 5 SC&TOTAL S ' <br /> _ PERMIT $ PEi?MIT _� <br /> TOTAL FFE S TOTAL FEE 5 <br /> FOR OFFICE USE ONLY: (�'�f;;' ,� /� <br /> FRONiS[TBACK qEAF5CT8ACY SIDESEiBNf,K PLANCHE�C`NIIMBER FFE�' ,, FSCEIPTM1� <br /> ��� %�/ '� �j / /7`�c75 � �'� - � �a5 � <br /> us:_-�r+F �ornaen vncnNrsire FEES VALUATION FEE <br /> F."S YES NO --r <br /> BUILDING 3.3 ��7 � S : �-� <br /> �TPI Of COI:St NO.OF STOPoES OLcuc�;:� yo O��w¢utc�•;�_ — — <br /> _ �IJ Z eaou�� PLU�dBING !/�r Ll . . . <br /> " OF60G FIqESPRINKLEfl5RE0'D EASEldF �/ T— <br /> �� Z,P,.� SF 'Y ;� _ NO MECHANICAL CS v �� ' � <br /> �z. S� GP�t o -- <br /> j CC�.'JNANCY LOnD FIRF 4LM1,1 qcp�p HEIGMTLIM1IITiT10N, AD�IT'.ONAL PLAN CHECK . � ��- <br /> —��— _ iJo 2S. , <br /> OTHER �U � <br /> R:nSpY <br /> STATE BUILDING 511RCHARGE ��.� —', <br /> •,-r:-� o� P�nNs;r��o��ov — CITY OF EVERETT PU�LIC WORKS ,'�:� � �; <br /> J LOCALSALES <br /> o�,e� �3 y✓ � TAX CODE IS 3105 rora� � /�� ; �'� <br />